WELCOME TO
THE MERCK
ACCESS PROGRAM
ARE YOU A US HEALTH CARE PROFESSIONAL?
YES
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THE MERCK PATIENT ASSISTANCE PROGRAM

The Merck Access Program representatives can refer patients to the Merck Patient Assistance Program.

Who is the program for?

 

Patients who do not have insurance or whose insurance does not cover KEYTRUDA may be eligible for free product, including product replacement, from the Merck Patient Assistance Program if they meet certain financial and medical criteria.

Getting started is simple

  • 1.Download and complete the appropriate sections of the enrollment form, OR use the electronic enrollment form, OR use the online portal.
  • 2.Print and fax the completed form to 855-755-0518.
  • 3.A program representative will contact your patient and your office.
Download the Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab) Electronic Enrollment Form for The Merck Access Program for KEYTRUDA® (pembrolizumab)
Download the Merck Patient Assistance Program Product Replacement Form for KEYTRUDA® (pembrolizumab)
This form is to be completed by health care professionals only.
 
 

To request an appointment with a Nurse Educator, please call 855-257-3932.